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General NPI Number Information
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NPI Number | 1942302187
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Entity Type | Individual
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Provider Name | LUIS ALVAREZ MPT
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 386 MAHOGANY DRIVE
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City | KEY LARGO
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State | FL
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Zip | 33037
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Country | US
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Telephone | 305-986-8293
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Fax | 954-357-2146
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Provider Business Mailing Address
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Address Line | 386 MAHOGANY DRIVE
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City | KEY LARGO
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State | FL
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Zip | 33037
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Country | US
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Telephone | 305-986-8293
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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